You are Here: Home Page> (none)>Recipients Eligible For Enrollment In Managed Care: Enrollment Status by Aid Category and County, and Total Percent Enrolled by Provider Plan

Recipients Eligible For Enrollment In Managed Care: Enrollment Status by Aid Category and County, and Total Percent Enrolled by Provider Plan

NYS November, 2004

County

Provider

TANF ADC & MA-ADC

SNA HR & MA-HR

TANF & MA-ADC, SNA & MA-HR

EXPECTED PENETRATION RATE

SSI & MA-SSI

Total Eligibles

Total Enrolled

Percent Enrolled

Eligibles

Enrolled

Eligibles

Enrolled

Total Eligibles

Total Enrolled

Percent Enrolled

Expected Target*

% of Target*

Eligibles

Enrolled

Albany

18,459

14,678

2,186

1,139

20,645

15,817

77%

92%

83%

4,480

1,162

25,125

16,979

68%

Mandatory

Capital District Physicians Health Plan

11,438

791

12,229

59%

990

13,219

53%

HealthNow/BlueShield of NENY

371

91

462

2%

15

477

2%

NYS Catholic Health Plan

1,911

197

2,108

10%

112

2,220

9%

Wellcare Of New York

958

60

1,018

5%

45

1,063

4%

Allegany

4,096

961

454

87

4,550

1,048

23%

90%

25%

1,012

100

5,562

1,148

21%

Voluntary

HealthNow/BCBS-WNY/Community Blue

961

87

1,048

23%

100

1,148

21%

Broome

14,782

12,493

1,637

1,058

16,419

13,551

83%

90%

91%

3,697

1,053

20,116

14,604

73%

Mandatory

Broome MAX

4,820

422

5,242

32%

712

5,954

30%

Capital District Physicians Health Plan

7,202

551

7,753

47%

319

8,072

40%

NYS Catholic Health Plan

471

85

556

3%

22

578

3%

Cattaraugus

6,974

5,075

534

393

7,508

5,468

73%

91%

80%

1,589

663

9,097

6,131

67%

Mandatory

HealthNow/BCBS-WNY/Community Blue

3,479

239

3,718

50%

568

4,286

47%

NYS Catholic Health Plan

1,596

154

1,750

23%

95

1,845

20%

Cayuga Voluntary

5,893

0

452

0

6,345

0

0%

89%

0%

1,201

0

7,546

0

0%

Chautauqua

14,086

10,120

1,836

1,204

15,922

11,324

71%

85%

84%

2,780

1,164

18,702

12,488

67%

Mandatory

HealthNow/BCBS-WNY/Community Blue

4,144

528

4,672

29%

478

5,150

28%

NYS Catholic Health Plan

5,976

676

6,652

42%

686

7,338

39%

Chemung

9,202

3,913

1,009

332

10,211

4,245

42%

89%

47%

1,996

881

12,207

5,126

42%

Voluntary

Southern Tier Pediatrics (Partial)

2,632

1

2,633

26%

236

2,869

24%

Southern Tier Priority (Partial)

1,281

331

1,612

16%

645

2,257

18%

Chenango Voluntary

5,339

0

355

0

5,694

0

0%

92%

0%

1,020

0

6,714

0

0%

Clinton Voluntary

6,196

0

587

0

6,783

0

0%

86%

0%

1,623

0

8,406

0

0%

Columbia

3,636

2,594

308

187

3,944

2,781

71%

93%

75%

875

242

4,819

3,023

63%

Mandatory

Capital District Physicians Health Plan

1,982

133

2,115

54%

199

2,314

48%

NYS Catholic Health Plan

242

32

274

7%

8

282

6%

Wellcare Of New York

370

22

392

10%

35

427

9%

Cortland

4,496

520

328

28

4,824

548

11%

91%

12%

771

100

5,595

648

12%

Voluntary

NYS Catholic Health Plan

520

28

548

11%

100

648

12%

Delaware

3,194

0

292

0

3,486

0

0%

92%

0%

766

0

4,252

0

0%

Dutchess

10,739

5,265

1,069

204

11,808

5,469

46%

90%

51%

2,840

344

14,648

5,813

40%

Voluntary

GHI HMO Select

262

22

284

2%

10

294

2%

Hudson Health Plan

571

20

591

5%

41

632

4%

MVP Health Plan

1,411

48

1,459

12%

89

1,548

11%

Wellcare Of New York

3,021

114

3,135

27%

204

3,339

23%

Erie

74,207

58,440

10,374

6,103

84,581

64,543

76%

93%

82%

17,727

8,291

102,308

72,834

71%

Mandatory

HealthNow/BCBS-WNY/Community Blue

13,604

1,380

14,984

18%

1,150

16,134

16%

Independent Health Association

18,325

1,538

19,863

23%

1,981

21,844

21%

NYS Catholic Health Plan

14,549

819

15,368

18%

1,457

16,825

16%

Univera Community Health

11,342

1,156

12,498

15%

490

12,988

13%

57,820

4,893

62,713

74%

5,078

67,791

66%

PCMP III (Partial)

5

12

17

0%

240

257

0%

PCMP II-A Special Care (Partial)

615

1,198

1,813

2%

2,973

4,786

5%

620

1,210

1,830

2%

3,213

5,043

5%

Essex Voluntary

2,296

0

194

0

2,490

0

0%

92%

0%

578

0

3,068

0

0%

Franklin Voluntary

3,810

0

330

0

4,140

0

0%

91%

0%

1,015

0

5,155

0

0%

Fulton

5,608

871

493

39

6,101

910

15%

92%

16%

1,107

61

7,208

971

13%

Voluntary

Capital District Physicians Health Plan

871

39

910

15%

61

971

13%

Genesee

3,770

2,739

207

224

3,977

2,963

75%

89%

83%

650

184

4,627

3,147

68%

Mandatory

HealthNow/BCBS-WNY/Community Blue

1,237

110

1,347

34%

50

1,397

30%

Rochester Area HMO/Preferred Care

1,502

114

1,616

41%

134

1,750

38%

Greene

3,415

2,847

311

223

3,726

3,070

82%

93%

88%

746

294

4,472

3,364

75%

Mandatory

Capital District Physicians Health Plan

1,954

160

2,114

57%

226

2,340

52%

NYS Catholic Health Plan

362

29

391

10%

16

407

9%

Wellcare Of New York

531

34

565

15%

52

617

14%

Hamilton Voluntary

207

0

22

0

229

0

0%

91%

0%

43

0

272

0

0%

Herkimer

5,716

4,870

331

306

6,047

5,176

86%

92%

93%

903

135

6,950

5,311

76%

Mandatory

Excellus Health Plan

1,945

124

2,069

34%

53

2,122

31%

NYS Catholic Health Plan

2,405

147

2,552

42%

68

2,620

38%

United Healthcare Plan Of NY

520

35

555

9%

14

569

8%

Jefferson Voluntary

9,043

0

781

0

9,824

0

0%

87%

0%

1,889

0

11,713

0

0%

Lewis Voluntary

2,453

0

178

0

2,631

0

0%

93%

0%

429

0

3,060

0

0%

Livingston

3,903

3,028

449

295

4,352

3,323

76%

92%

83%

723

238

5,075

3,561

70%

Mandatory

Excellus Health Plan

2,071

189

2,260

52%

131

2,391

47%

Rochester Area HMO/Preferred Care

957

106

1,063

24%

107

1,170

23%

Madison Voluntary

4,454

0

298

0

4,752

0

0%

91%

0%

797

0

5,549

0

0%

Monroe

60,492

45,448

10,726

4,473

71,218

49,921

70%

91%

77%

13,210

3,786

84,428

53,707

64%

Mandatory

Excellus Health Plan

34,568

3,429

37,997

53%

2,975

40,972

49%

Rochester Area HMO/Preferred Care

10,880

1,044

11,924

17%

811

12,735

15%

Montgomery

4,912

928

485

50

5,397

978

18%

92%

20%

846

114

6,243

1,092

17%

Voluntary

Capital District Physicians Health Plan

928

50

978

18%

114

1,092

17%

Nassau

50,040

43,522

5,206

3,423

55,246

46,945

85%

92%

92%

10,530

2,153

65,776

49,098

75%

Mandatory

Affinity Health Plan

8,805

544

9,349

17%

286

9,635

15%

HealthFirst PHSP

11,920

669

12,589

23%

396

12,985

20%

Health Insurance Plan of Greater New York

9,708

1,088

10,796

20%

853

11,649

18%

NYS Catholic Health Plan

6,769

438

7,207

13%

238

7,445

11%

United Healthcare Plan Of NY

6,320

684

7,004

13%

380

7,384

11%

Niagara

15,577

13,930

2,007

1,437

17,584

15,367

87%

93%

94%

3,508

1,814

21,092

17,181

81%

Mandatory

HealthNow/BCBS-WNY/Community Blue

5,533

561

6,094

35%

562

6,656

32%

Independent Health Association

5,602

553

6,155

35%

927

7,082

34%

NYS Catholic Health Plan

2,795

323

3,118

18%

325

3,443

16%

Oneida

20,732

17,047

1,962

1,310

22,694

18,357

81%

92%

88%

5,392

1,871

28,086

20,228

72%

Mandatory

Excellus Health Plan

2,761

316

3,077

14%

158

3,235

12%

NYS Catholic Health Plan

9,999

717

10,716

47%

1,363

12,079

43%

United Healthcare Plan Of NY

4,287

277

4,564

20%

350

4,914

17%

Onondaga

37,837

28,732

4,807

2,308

42,644

31,040

73%

89%

82%

8,289

2,812

50,933

33,852

66%

Mandatory

Excellus Health Plan

3,032

342

3,374

8%

157

3,531

7%

NYS Catholic Health Plan

6,479

483

6,962

16%

644

7,606

15%

SCHC Total Care

10,645

916

11,561

27%

1,261

12,822

25%

United Healthcare Plan Of NY

8,576

567

9,143

21%

750

9,893

23%

Ontario

5,284

4,331

525

294

5,809

4,625

80%

91%

87%

1,191

461

7,000

5,086

73%

Mandatory

Excellus Health Plan

3,727

237

3,964

68%

388

4,352

62%

Rochester Area HMO/Preferred Care

604

57

661

11%

73

734

10%

Orange

29,670

10,127

2,368

577

32,038

10,704

33%

91%

37%

4,291

958

36,329

11,662

32%

Voluntary

Affinity Health Plan

6,515

325

6,840

21%

686

7,526

21%

GHI HMO Select

49

2

51

0%

4

55

0%

Hudson Health Plan

1,262

114

1,376

4%

107

1,483

4%

NYS Catholic Health Plan

2

0

2

0%

0

2

0%

Wellcare Of New York

2,299

136

2,435

8%

161

2,596

7%

Orleans

3,787

2,928

446

290

4,233

3,218

76%

92%

83%

614

163

4,847

3,381

70%

Mandatory

Excellus Health Plan

1,045

98

1,143

27%

69

1,212

25%

HealthNow/BCBS-WNY/Community Blue

783

87

870

21%

39

909

19%

NYS Catholic Health Plan

1,100

105

1,205

28%

55

1,260

26%

Oswego

11,970

9,903

810

544

12,780

10,447

82%

92%

89%

2,009

791

14,789

11,238

76%

Mandatory

Excellus Health Plan

411

44

455

4%

28

483

3%

NYS Catholic Health Plan

2,056

126

2,182

17%

158

2,340

16%

SCHC Total Care

3,462

235

3,697

29%

318

4,015

27%

United Healthcare Plan Of NY

3,974

139

4,113

32%

287

4,400

30%

Otsego Voluntary

3,831

0

297

0

4,128

0

0%

91%

0%

865

0

4,993

0

0%

Putnam

1,319

339

156

30

1,475

369

25%

88%

28%

560

49

2,035

418

21%

Voluntary

Careplus, LLC

140

6

146

10%

27

173

9%

GHI HMO Select

199

24

223

15%

22

245

12%

Rensselaer

9,841

8,632

1,166

963

11,007

9,595

87%

92%

95%

2,258

617

13,265

10,212

77%

Mandatory

Capital District Physicians Health Plan

6,737

689

7,426

67%

512

7,938

60%

HealthNow/BlueShield of NENY

709

126

835

8%

43

878

7%

NYS Catholic Health Plan

851

95

946

9%

46

992

7%

Wellcare Of New York

335

53

388

4%

16

404

3%

Rockland

26,816

24,781

1,653

1,059

28,469

25,840

91%

92%

98%

2,618

684

31,087

26,524

85%

Mandatory

Affinity Health Plan

1,871

201

2,072

7%

151

2,223

7%

Community Choice Health Plan Of Westchester

285

65

350

1%

16

366

1%

GHI HMO Select

113

21

134

0%

10

144

0%

Hudson Health Plan

3,644

249

3,893

14%

158

4,051

13%

NYS Catholic Health Plan

17,089

408

17,497

61%

294

17,791

57%

Wellcare Of New York

1,779

115

1,894

7%

55

1,949

6%

St Lawrence Voluntary

9,957

0

871

0

10,828

0

0%

91%

0%

2,550

0

13,378

0

0%

Saratoga

7,705

5,652

520

313

8,225

5,965

73%

92%

79%

1,914

340

10,139

6,305

62%

Mandatory

Capital District Physicians Health Plan

4,320

229

4,549

55%

275

4,824

48%

HealthNow/BlueShield of NENY

559

38

597

7%

22

619

6%

NYS Catholic Health Plan

773

46

819

10%

43

862

9%

Schenectady

11,334

6,008

1,055

239

12,389

6,247

50%

90%

56%

2,716

811

15,105

7,058

47%

Voluntary

Capital District Physicians Health Plan

4,473

160

4,633

37%

709

5,342

35%

NYS Catholic Health Plan

1,535

79

1,614

13%

102

1,716

11%

Schoharie

2,308

98

198

15

2,506

113

5%

92%

5%

389

8

2,895

121

4%

Voluntary

Capital District Physicians Health Plan

98

15

113

5%

8

121

4%

Schuyler

1,500

187

202

58

1,702

245

14%

92%

16%

298

23

2,000

268

13%

Voluntary

Southern Tier Priority (Partial)

187

58

245

14%

23

268

13%

Seneca

2,182

1,480

168

67

2,350

1,547

66%

92%

71%

446

173

2,796

1,720

62%

Voluntary

Excellus Health Plan

1,480

67

1,547

66%

173

1,720

62%

Steuben

8,747

2,256

998

219

9,745

2,475

25%

91%

28%

2,067

684

11,812

3,159

27%

Voluntary

Southern Tier Pediatrics (Partial)

111

111

1%

10

121

1%

Southern Tier Priority (Partial)

2,145

219

2,364

24%

674

3,038

26%

Suffolk

66,181

53,195

7,852

4,673

74,033

57,868

78%

91%

86%

13,592

3,415

87,625

61,283

70%

Mandatory

Affinity Health Plan

5,874

436

6,310

9%

237

6,547

7%

HealthFirst PHSP

9,960

724

10,684

14%

671

11,355

13%

Health Insurance Plan of Greater New York

9,920

1,413

11,333

15%

683

12,016

14%

NYS Catholic Health Plan

5,266

435

5,701

8%

201

5,902

7%

Suffolk Health Plan

11,804

909

12,713

17%

1,188

13,901

16%

United Healthcare Plan Of NY

10,371

755

11,126

15%

435

11,561

13%

Vytra Health Plans Long Island

0

1

1

0%

1

0%

Sullivan

6,862

3,406

406

124

7,268

3,530

49%

91%

54%

1,490

226

8,758

3,756

43%

Voluntary

Hudson Health Plan

3,187

117

3,304

45%

192

3,496

40%

Wellcare Of New York

219

7

226

3%

34

260

3%

Tioga

3,645

177

327

18

3,972

195

5%

92%

5%

760

3

4,732

198

4%

Voluntary

Capital District Physicians Health Plan

177

18

195

5%

3

198

4%

Tompkins

5,237

823

713

66

5,950

889

15%

90%

17%

1,024

89

6,974

978

14%

Voluntary

SCHC Total Care

823

66

889

15%

89

978

14%

Ulster

10,568

3,972

988

212

11,556

4,184

36%

91%

40%

2,637

284

14,193

4,468

31%

Voluntary

GHI HMO Select

237

27

264

2%

15

279

2%

Hudson Health Plan

143

19

162

1%

14

176

1%

MVP Health Plan

992

67

1,059

9%

32

1,091

8%

Wellcare Of New York

2,600

99

2,699

23%

223

2,922

21%

Warren

3,801

2,039

247

23

4,048

2,062

51%

92%

56%

938

87

4,986

2,149

43%

Voluntary

HealthNow/BlueShield of NENY

2,039

23

2,062

51%

87

2,149

43%

Washington

4,572

1,791

246

32

4,818

1,823

38%

91%

42%

1,014

167

5,832

1,990

34%

Voluntary

Capital District Physicians Health Plan

618

6

624

13%

37

661

11%

HealthNow/BlueShield of NENY

985

20

1,005

21%

120

1,125

19%

NYS Catholic Health Plan

188

6

194

4%

10

204

3%

Wayne

5,633

2,905

360

77

5,993

2,982

50%

92%

54%

1,246

259

7,239

3,241

45%

Voluntary

Excellus Health Plan

2,905

77

2,982

50%

259

3,241

45%

Westchester

54,890

39,298

8,019

3,437

62,909

42,735

68%

89%

77%

10,666

2,721

73,575

45,456

62%

Mandatory

Affinity Health Plan

5,744

555

6,299

10%

435

6,734

9%

Community Choice Health Plan Of Westchester

6,473

567

7,040

11%

463

7,503

10%

Health Insurance Plan of Greater New York

3,040

617

3,657

6%

371

4,028

5%

Hudson Health Plan

20,297

1,224

21,521

34%

1,205

22,726

31%

NYS Catholic Health Plan

3,744

474

4,218

7%

247

4,465

6%

Wyoming Voluntary

2,120

0

166

0

2,286

0

0%

91%

0%

422

0

2,708

0

0%

Yates

1,792

1,255

132

74

1,924

1,329

69%

93%

74%

292

112

2,216

1,441

65%

Voluntary

Excellus Health Plan

1,255

74

1,329

69%

112

1,441

65%

717,116

463,604

81,097

38,227

798,213

501,831

63%

91%

69%

151,899

40,587

950,112

542,418

57%

NYC

ABC Health Plan

5,746

1,434

7,180

0%

227

7,407

0%

Mandatory

Affinity Health Plan

79,832

19,793

99,625

6%

3,420

103,045

5%

Americhoice of New York

71,438

20,293

91,731

6%

3,460

95,191

5%

Careplus, LLC

59,019

11,902

70,921

4%

1,422

72,343

4%

CenterCare

54,832

10,929

65,761

4%

2,144

67,905

4%

Community Choice Health Plan Of Westchester

3,486

622

4,108

0%

93

4,201

0%

Community Premier Plus

48,687

9,450

58,137

4%

1,668

59,805

3%

FidelisCare HealthierLife SN

3

2

5

0%

0

5

0%

GHI HMO Select

1,069

751

1,820

0%

30

1,850

0%

HealthFirst PHSP

145,526

30,540

176,066

11%

6,091

182,157

10%

HealthFirst PHSP SN

79

44

123

0%

77

200

0%

HealthPlus

146,622

30,231

176,853

11%

3,740

180,593

10%

Health Insurance Plan of Greater New York

123,330

39,840

163,170

10%

8,280

171,450

9%

Managed Health Inc/A+ Health Plan

1,363

599

1,962

0%

25

1,987

0%

MetroPlus Health Plan

135,404

28,308

163,712

10%

5,369

169,081

9%

MetroPlus Health Plan SN

76

73

149

0%

117

266

0%

Neighborhood Health Providers

61,184

11,074

72,258

4%

2,152

74,410

4%

NYPS Select Health SN

104

159

263

0%

194

457

0%

NYS Catholic Health Plan

65,218

12,264

77,482

5%

2,464

79,946

4%

St. Barnabas Community Health/Partners In Health

18,784

3,320

22,104

1%

1,179

23,283

1%

The New York Presbyterian Community Health Plan

35,096

9,963

45,059

3%

1,230

46,289

2%

United Healthcare Plan Of NY

24,444

9,831

34,275

2%

1,299

35,574

2%

VidaCare Inc. SN

15

52

67

0%

70

137

0%

Wellcare Of New York

23,703

6,705

30,408

2%

633

31,041

2%

1,239,205

1,105,060

393,181

258,179

1,632,386

1,363,239

84%

90%

92%

254,468

45,384

1,886,854

1,408,623

75%

717,116

463,604

81,097

38,227

798,213

501,831

63%

91%

69%

151,899

40,587

950,112

542,418

57%

1,239,205

1,105,060

393,181

258,179

1,632,386

1,363,239

84%

90%

92%

254,468

45,384

1,886,854

1,408,623

75%

1,956,321

1,568,664

474,278

296,406

2,430,599

1,865,070

77%

91%

85%

406,367

85,971

2,836,966

1,951,041

69%

NYC Boroughs

Bronx

311,117

278,455

91,922

53,065

403,039

331,520

82%

66,626

11,964

469,665

343,484

73%

Brooklyn

452,902

402,711

145,808

101,482

598,710

504,193

84%

87,280

16,271

685,990

520,464

76%

Manhattan

168,915

148,877

71,540

40,874

240,455

189,751

79%

48,553

7,167

289,008

196,918

68%

Queens

274,160

243,374

75,136

55,910

349,296

299,285

86%

44,594

7,876

393,890

307,160

78%

Staten Island

32,111

31,642

8,775

6,848

40,886

38,490

94%

7,415

2,107

48,301

40,597

84%

1,239,205

1,105,060

393,181

258,179

1,632,386

1,363,239

84%

90%

92%

254,468

45,384

1,886,854

1,408,623

75%

Notes

The Managed Care eligible counts are based upon April, 2004 total eligibles adjusted for excluded populations. The counts include recipients who are exempt from mandatory enrollment. (See about statement for further details)

The source of plan enrollment counts was revised in July, 2003 to be based on the primary and secondary roster reports. The roster reports reflect enrollees as of the first the month. (See about statement for further details)

All percents are rounded to the nearest whole number.

The expected penetration rate columns reflect an adjustment to total eligibles and the percent enrolled to account for the portion of the exempt population who are expected to choose not to enroll in managed care and for retroactive Medicaid eligibility determinations precluding enrollment for the month being measured. (An exempt recipient is one who will not be mandated to enroll in Medicaid managed care, but is eligible to enroll voluntarily. This would include Medicaid recipients with AIDS, HIV or a serious and persistent mental illness. (See the about statement for further details of this adjustment).

New plans added this month : None

*Vytra Health Plans Long Island in Nassau County no longer has enrollment.

Managed Long Term Care Enrollment by Provider And County

NYS November, 2004

Provider

County

Total Enrollment

CO-OP CARE PLAN

NYC

440

Total

440

COMPREHENSIVE CARE MGT

NYC

1,320

WESTCHESTER

131

Total

1,451

EDDY SENIORCARE

SCHENECTADY

75

Total

75

ELANT CHOICE

ORANGE

84

Total

84

GUILDNET

NYC

2,695

Total

2,695

HEALTH PARTNERS OF NY

NASSAU

467

Total

467

HOMEFIRST

NYC

1,002

Total

1,002

INDEP CARE SYSTEMS INC

NYC

630

Total

630

INDEP LIVING FOR SENIORS

MONROE

306

Total

306

PACE CNY

ONONDAGA

255

Total

255

PARTNERS IN COMMUNITY CARE

ORANGE

91

ROCKLAND

28

Total

119

SENIOR HEALTH PARTNERS INC

NYC

289

Total

289

SENIOR NETWORK HEALTH

HERKIMER

23

ONEIDA

322

Total

345

TOTAL AGING IN PLACE

ERIE

120

Total

120

VNS CHOICE

NYC

3,729

Total

3,729

UPSTATE TOTALS:

1,902

NEW YORK CITY TOTALS:

10,105

GRAND TOTALS:

12,007

NOTE: The source of enrollment is based on the primary and secondary roster reports.